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Our client is seeking a detail-oriented, service-driven Care Coordinator to support administrative and care coordination functions for pediatric patients receiving critical medical equipment and supplies. This role requires strong communication skills, comfort handling high-volume phone interactions, and the ability to navigate complex healthcare and insurance processes while maintaining compliance standards.
Job Responsibility:
Coordinate care services for pediatric patients and foster families
Communicate regularly with patient families, physicians, and community partners
Submit patient requests to physicians and follow up on required documentation
Secure eligibility information and request prior authorizations from insurance providers
Support medical billing and coding activities as needed
Maintain strict compliance with Medicaid and HIPAA regulations
Collaborate with referring agencies and healthcare providers
Coordinate durable medical equipment (DME) services
Deliver timely, accurate service while maintaining professionalism in high-stress situations
Requirements:
Prior experience in DME, medical billing, utilization management, or care coordination preferred
Familiarity with Medicaid processes and insurance authorization workflows
Brightree software experience is a plus
Strong attention to detail and documentation accuracy
Excellent verbal and written communication skills
Comfortable handling frequent and sometimes emotionally intense phone conversations
Ability to manage multiple priorities in a fast-paced healthcare environment
Nice to have:
Brightree software experience is a plus
What we offer:
medical, vision, dental, and life and disability insurance